53D2029475 CLIA NUMBER - PROFESSIONAL PATHOLOGY OF WYOMING

Laboratory Demographics

  • CLIA Code: 53D2029475
  • Facility Name: PROFESSIONAL PATHOLOGY OF WYOMING
  • Facility Address: 111 SOUTH JEFFERSON STREET
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 337-1670
  • Facility Type: Other - PRIVATE PATHOLOGY LAB
  • Facility Type: Accreditation
  • Lab Director: DR. JASON GREGORIO
  • NPI Number: 1386916724
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 53D2029475
LAB Type Other - PRIVATE PATHOLOGY LAB
Facility Name PROFESSIONAL PATHOLOGY OF WYOMING
Street 111 SOUTH JEFFERSON STREET
City CASPER
State WY
ZIP 82601
Phone 307 337-1670
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Other - PRIVATE PATHOLOGY LAB
Lab Director DR. JASON GREGORIO

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This page was last updated on: 9/29/2025